No pen is included. Only the main unit, USB cable, and instruction manual are included. Please be aware. I purchased a size S as a spare, but I haven't had a chance to use it, so I'm selling it. The Wacom Intuos CTL-4100 is a high-performance pen tablet with four shortcut buttons. - Brand: Wacom - Model: Intuos CTL-4100 - Included items: USB cable - Type: Pen tablet - Number of buttons: 4 shortcut buttons Thank you for viewing.